TL;DR: Performing a partial omentectomy at the time of catheter insertion was found to significantly improve CAPD catheter survival.
Abstract: Long-term survival of the peritoneal catheter is essential for successful CAPD. In our unit, all CAPD catheters are now placed by an open surgical technique, which in some cases has included performing a partial omentectomy. The aim of this study was to assess the influence of omentectomy on CAPD catheter survival. Three hundred consecutive CAPD catheters inserted over a 5-year period were analyzed. Omentectomy was performed in 113 cases (38%). Data relating to a number of potentially significant risk/benefit factors were analyzed using multiple regression analysis (proportional hazards method of Cox). Performing a partial omentectomy at the time of catheter insertion was found to significantly improve CAPD catheter survival (p = 0.0002).
TL;DR: This is the first description of use of a GnRH agonist to treat this rare condition of ascites and bilateral pleural effusions associated with an endometrioma in a 26-year-old woman of Chinese descent.
TL;DR: Experimental and clinical cases document that the omentum and jejunum can be harvested successfully as a free flap using laparoscopic assistance, and gross and microscopic findings attest to the viability of this approach.
TL;DR: A 47-year-old woman presented with abdominal pain and a palpable lower abdominal mass that was found to consist of a supernumerary ovary with a cystic teratoma.
Abstract: Supernumerary ovary is a rarely described gynecologic finding. A 47-year-old woman presented with abdominal pain and a palpable lower abdominal mass. The mass, removed in a partial omentectomy, was found to consist of a supernumerary ovary with a cystic teratoma.
TL;DR: Catheter function was retrospectively analysed after surgical placement in 21 children requiring peritoneal dialysis for acute renal failure due to haemolytic uraemic syndrome and substantial benefits were shown to have accrued from partial omentectomy which resulted in reliable access and trouble-free drainage.
Abstract: Catheter function was retrospectively analysed after surgical placement in 21 children requiring peritoneal dialysis for acute renal failure due to haemolytic uraemic syndrome. Substantial benefits were shown to have accrued from partial omentectomy which resulted in reliable access and trouble-free drainage in the 11 patients in whom it was carried out. Conversely 4 of 10 patients in whom partial omentectomy was not done experienced total catheter blockage whilst the other 6 experienced intermittent poor drainage. Partial omentectomy should be considered as integral to the surgical technique of peritoneal catheter placement for both short-term and long-term dialysis in children.